联合用药治疗胃炎及胃十二指肠溃疡临床效果观察.docVIP

精品论文 参考文献 联合用药治疗胃炎及胃十二指肠溃疡临床效果观察 何萍（乐山市沙湾区人民医院 四川乐山 614900） 【中图分类号】R573【文献标识码】A【文章编号】1672-5085（2012）14-0087-02 【摘要】目的 观察探讨药物联合应用于治疗胃炎及胃十二指肠溃疡的临床疗效，总结其临床价值。方法 选取我院2009年8月至2011年8月胃炎及胃十二指肠溃疡的患者240例,按照病种合理选取质子泵抑制剂克拉霉素、H2RA、促胃肠动力药物、替硝唑，治疗4周，按照临床症状改善的程度进行药物的调整，观察分析治疗效果。结果 240例患者经治疗后97例慢性胃炎患者，改善率为86.60%（84/97），68例十二指肠球部溃疡患者，改善率为88.24%（60/68），44例复合性溃疡患者，改善率为18.18%（8/44），31例胃溃疡患者，改善率为48.39%（15/31），其中以十二指肠球部溃疡的改善程度最为明显，其次为慢性胃炎，与其它类型比较差异显著（P＜0.05），具有统计学意义。结论 药物联合应用于治疗胃炎及胃十二指肠溃疡的临床疗效显著，能明显缓解并改善上消化道的症状，具有重要的临床意义。 【关键词】慢性胃炎 胃十二指肠溃疡 临床症状 【Abstract】 Objective: To observe investigate the drug combination used in the clinical efficacy of the treatment of gastritis and gastroduodenal ulcer, and summarize its clinical value. Methods: 240 cases of gastritis and gastric ulcer patients, our hospital from August 2009 to August 2011, the reasonable selection of the proton pump inhibitor, clarithromycin, H2RA, promote gastrointestinal motility drugs in accordance with the disease, for nitrate yl, 4 weeks of treatment, medication adjustments in accordance with the degree of improvement in clinical symptoms, to observe and analyze the treatment effect. Results: 240 patients, 97 cases of patients with chronic gastritis after treatment, improvement rate was 86.60% (84/97), 68 cases of duodenal ulcer patients, to improve the rate of 88.24% (60/68), 44 cases of compound ulcer patients, improvement rate was 18.18% (8/44), 31 cases of gastric ulcer patients, to improve the rate of 48.39% (15/31), of which the most obvious improvement in the degree of duodenal ulcer, followed by chronic gastritis, and other types of difference was significantly (P lt;0.05), with statistical significance. Conclusion: The drug combination used in the clinical efficacy of the treatment of gastritis and gastric ulcer significantly, can relieve and improve the symptoms of upper gastrointestinal tract, has important clinical significance. 【Key words】 chronic gastritis, gastric ulcer clinical symptoms